This question was submitted via our Ask a TMS Therapist program. To submit your question, click here. Question Four times over the last 20 years I had to reread Dr. Sarno's book to relieve chronic back pain. It has always worked. Due to some recent back pain I decided to reread his books again. But this time I read The Great Pain Deception and realized that I have a lot of other TMS symptoms that I have been mitigating with a low fat low protein plant based diet. In other words as long as I am on the diet I am fine. But when I start eating heavier foods I begin to get stomach aches, irritable bowel syndrome, fevers and sore throats. I have also been hospitalized a number of times for bi-polar mania. During a manic episode I am able to eat heavier foods and do not have any of the symptoms mentioned above. But after I recover from the mania I am forced to go back on the diet or suffer the symptoms. The question is do you think I should eat heavier foods just to aggravate my symptoms so I can learn to get over them through awareness of TMS. Also do you think I can learn to get over the mania and depression itself. I am concerned that eating a wider range of heavier foods might trigger the mania since my subconscious associates the change of diet with mania.